After catching a cold, my speech has become slurred?
I would like to ask the doctor: After catching a cold, I noticed that I have lost my sense of taste for spicy foods, and I also have a problem with slurred speech.
I am worried that it might be due to taking too many Western medications, so I went to see a Traditional Chinese Medicine practitioner.
After acupuncture treatment, my sense of taste has returned, but my speech is still not smooth.
I have previously visited a large hospital where I underwent neurological examinations and an ENT endoscopy, and everything came back normal.
So I would like to ask if this is a neurological issue? Additionally, what kind of exercises or dietary changes can help me recover quickly? Thank you, doctor.
Miss Lin, 30~39 year old female. Ask Date: 2015/07/13
Dr. Jiang Junyi reply Neurology
Hello, based on your description, there are many causes for taste loss, such as saliva deficiency, the effects of certain medications (e.g., steroids, anesthesia from surgery), nutritional deficiencies (e.g., zinc), injuries to the tongue or oral cavity (e.g., periodontal disease, burns), neurological disorders or infections (such as colds), natural aging, and intracranial diseases.
The treatment for these conditions primarily focuses on addressing the underlying cause, and doctors may advise patients to change or discontinue any suspected medications.
As for the issue of speech fluency, it may be a side effect of medication or related to brain problems.
It is recommended that you consult a neurologist for evaluation and treatment.
Wishing you good health and peace.
Sincerely, Dr.
Jiang Junyi, Taoyuan Medical Center.
Reply Date: 2015/07/13
More Info
Post-cold speech issues can be quite distressing, especially when they affect your ability to communicate effectively. It’s understandable that you are concerned about the changes you’ve experienced after your cold, particularly regarding your taste sensation and speech fluency.
From a medical perspective, it’s important to recognize that respiratory infections, including the common cold, can lead to various neurological and physiological changes. These changes may affect the cranial nerves responsible for taste and speech. The fact that you experienced a loss of taste, particularly for spicy foods, suggests that there may have been some temporary disruption in the function of the nerves involved in taste perception, such as the facial nerve (cranial nerve VII) and the glossopharyngeal nerve (cranial nerve IX).
The "thick tongue" sensation or difficulty in speaking clearly can also be attributed to several factors, including inflammation or irritation of the throat and mouth, which can occur after a respiratory infection. Additionally, if you were taking medications, particularly those that can cause dry mouth or sedation, this could contribute to your speech difficulties.
It’s encouraging to hear that your taste sensation has improved following acupuncture treatment. Acupuncture can be beneficial for various conditions, including those affecting nerve function, by promoting blood flow and reducing inflammation. However, the persistence of your speech issues suggests that further evaluation may be necessary.
Since you have already undergone neurological and ENT evaluations without any significant findings, it may be worthwhile to consider a few additional factors. Stress and anxiety can exacerbate speech difficulties, particularly if you are feeling self-conscious about your speech. Engaging in relaxation techniques, such as deep breathing exercises or mindfulness, may help alleviate some of this anxiety.
In terms of recovery, there are several strategies you can employ:
1. Speech Therapy: Consulting with a speech-language pathologist can be incredibly beneficial. They can provide tailored exercises to improve your articulation, fluency, and overall communication skills.
2. Hydration: Ensure you are well-hydrated. Dry mouth can significantly impact speech clarity. Drinking plenty of water and using saliva substitutes if necessary can help.
3. Diet: A balanced diet rich in vitamins and minerals can support nerve health. Foods high in omega-3 fatty acids (like fish, walnuts, and flaxseeds), antioxidants (fruits and vegetables), and B vitamins (whole grains, eggs, and leafy greens) are particularly beneficial for neurological function.
4. Gentle Oral Exercises: Practicing tongue twisters or reading aloud can help improve your speech fluency. Focus on enunciating each word clearly and gradually increase your speed as you become more comfortable.
5. Avoid Irritants: Stay away from smoking, excessive alcohol, and other irritants that can exacerbate throat and mouth discomfort.
6. Follow-Up Care: Continue to monitor your symptoms and maintain regular follow-ups with your healthcare provider. If your symptoms persist or worsen, further investigations may be warranted to rule out any underlying conditions.
In conclusion, while your symptoms may be concerning, they are not uncommon following a respiratory infection. With appropriate interventions, including speech therapy and lifestyle modifications, you can work towards regaining your speech fluency and overall communication abilities. Remember to be patient with yourself during this recovery process, as it may take time for your body to fully heal.
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